Agile Teams and Lean Methods in a Tertiary Care Hospital During COVID-19 Pandemic.

Objectives: To share the experience of Agile Teams using Lean Method to facilitate improvement projects during the COVID-19 pandemic. Methods: A tertiary hospital in Oman mobilized agile teams using lean methods to streamline the workflow during the early stages of COVID-19 pandemic in year 2020. Results: The collaborative network generated by the agile teams increased interdepartmental engagement within the hospital and trimmed workflows, thus improving patient care despite the pandemic. Conclusions: Agile teams using lean methods demonstrably enhance collaboration and efficiency in healthcare, leading to improved patient care.

Oman's progress towards reaching "Ultimate Intervention Goals" for the surgery "S" component of SAFE strategy for the elimination of blinding trachoma in 2008.

BACKGROUND: A community based survey for Trachomatous Trichiasis (TT) was conducted in the high (TT >5% in 1997) and meso endemic areas (TT 1% to 5% in 1997) of Oman during 2008-09. METHODS: Investigators examined Omanis 40 age years and older from randomly selected villages. Eyes were examined for TT and vision. The medical history of surgery and advice given for TT surgery were recorded. The TT cases that were unadvised by health staff were defined as un-approached cases. Cluster adjusted prevalence of TT and risk of TT by gender were estimated. RESULT: We examined 4,951 of 5,268 persons in high-endemic areas and 965 of 993 (97.2%) persons in meso-endemic areas. The cluster adjusted prevalence of TT in the high and meso endemic areas were 7.54% (95% Confidence Interval [CI] 6.78-8.30) and 1.69% (95% CI 0.88-2.50) respectively. There were 5 TT patients in high endemic areas and none in meso-endemic areas who were not approached or managed in the past. The prevalence of TT across all ages was less than 1 per 1,000 of the population in all wilayats of Oman. Females had a significantly higher risk of cluster adjusted TT compared to males (Odds Ratio = 1.87 [95% CI 1.85-1.89]). The prevalence of blindness was 0.5% among TT cases in high endemic areas. CONCLUSION: Oman seems to have reached the Ultimate Intervention Goals (UIGs) of the "S" (Surgery) component in 2008 in high and meso-endemic areas. The efforts of existing eye services could be better evaluated if un-approached TT cases are used to calculate the TT prevalence. Oman needs to focus more on females with TT to reach the UIGs.

Should the health information glaucoma be hospital based or community based?

OBJECTIVE: To compare the prevalence and incidence of glaucoma in 2005 of > or =30 years-old Omani population. METHODS: This was a retrospective review of health data type of study conducted in 2007. The study was conducted in the Eye & Ear Health Care Section, Department of Non-Communicable Disease Control, Ministry of Health, The prevalence of glaucoma was estimated through community based modified cluster type of survey. Incidence was estimated from Health Information and Management System (HIMS) Formula to calculate the prevalence from incidence of a chronic disease to compare these 2 estimates. RESULTS: We examined 3,324 persons of >30 years of age. The prevalence was 4.75% (95% confidence intervals 4.02-5.47) with an estimated 20,700 glaucoma cases in Oman. Ophthalmologists reported 1,290 new cases of glaucoma in the same age group. The incidence was 0.30%. The prevalence if calculated from the incidence rates among the population > or =30 years of age would be 0.30x16.1=4.8%. CONCLUSION: The survey results are more reliable for policy making. However, HIMS could also generate reliable, periodic, low cost information on glaucoma that could help in estimating the prevalence, and monitoring the program approach to control glaucoma.